Doctor Name: | MARK EDWARD HULBERT |
NPI Number: | 1639253461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A.C.P., L.L.P |
License Number: | 6301011290 |
Business Practice Address: | 921 Abbott Rd East Lansing, MI - 488233170 |
Business Phone Number: | 5173512590 |
Business Fax Number: | 5173512733 |
Mailing Address: | 921 Abbott Rd, EAST LANSING |
State: | MI |
Postal Code: | 488233170 |
Phone Number: | 5173512590 |
Fax Number: | 5173512733 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6301011290 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |